Pulse & Tongue.doc

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    Strength Depth Width Rate Shape Rhythm

    EMPTY

    Big but soft

    and weak

    Feels

    empty on

    heavierpalpation

    Qi (&

    Blood)deficiency

    [SOFT]

    Empty +

    very soft

    slightly

    floating

    !isappears

    with heavy

    palpation

    "in and

    #ing

    deficiency

    [SCATTERED]

    Empty +

    very small

    superficialbroken up

    $evere Qiand blood

    deficiency

    FULL

    Big strong

    pounding

    against

    palpation

    E%cess

    condition

    FLOATIN

    $uperficial

    buoyant with

    very light

    palpation butobscured withheavier palpation

    floating & tight

    or rapid E'F

    floating & empty

    yin def (rarely

    e%treme i

    deficiency)

    + *ollow &

    eather

    DEEP

    $inking found

    with heavier

    palpation

    "in organ

    conditions,

    i & yang def

    (weak) or i orblood stasis (full)

    [WEA"]

    !eep + soft

    "ang def

    [FIRM]

    !eep hard wiry

    $tasis and pain

    (from cold if

    slow)

    [#IDDEN]

    !eep as if below

    bone

    $evere yang def

    T#IN$FINE

    !istinct &

    clear like a

    fine thread

    Blood

    deficiency(will fill

    out with t%

    esp with

    mo%a)

    [MINUTE]

    -hin.fine +

    e%tremely

    thin and

    small

    $evere i

    and blood

    deficiency

    WIDE$O%ER&

    FLOWIN

    !istinct &

    broad

    /cute

    conditions

    with heat

    [LON]

    0ide.overf

    lowing +

    long

    *eat

    [S#ORT]

    0ide.overf

    lowing +

    short

    Qi deficient

    RAPID

    1ore than 2 beats

    per respiration or

    higher than the

    given normal rate *eat

    [#URRIED]

    3apid + agitated &

    urgent

    Fire e%hausting the

    yin

    [MO%IN]

    3apid + trembling

    shaking rapidsomewhat slippery

    $hock an%iety

    fright or pain

    SLOW

    ess than 4 beats

    per respiration or

    lower than thenormal rate

    5old

    [SLOWED DOWN]

    + 4 beats per

    respiration

    Normal Pulse Rates

    /ge 3ate

    674 86+

    4796 :4967;2

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    o 5larity in deep position (yin) and ;rdpulse positions (clarity pulse should be a distinct entity)

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    Tongue Diagnosis: Body Shape

    +'dy Shape C(ini,a( Signi-i,an,e

    Thin !eficient blood (pale body)

    !eficient yin (red body)

    Swollen

    $' and.or G yang deficiency with dampness

    !amp7heat in $- and $'

    *- and $- heat (red body)

    /lcoholic to%in (red body)Swollen edges $' i deficiency

    Swollen sides 3ising 3 yang or 3 fire

    Swollen tip *- Fire blaHing (red body)

    *- i deficiency (normal color)

    Swollen bet. tip & center ? i def with phlegm retention

    Swollen along centercrack

    *- fire blaHing (red body)

    *- i deficiency (normal color)

    Hammer-shaped $- $' and G deficiency

    Stiff

    E%terior heat invading '5 (red or dark red body)

    *eat in@uring body fluids (red body) or *- Fire blaHing

    Gnternal wind (normal color)

    Flaccid E%hausted i & blood (pale body) E%treme heat in@uring fluids (red body)

    G yin deficiency with heat (deep red body)

    ong BlaHing *- Fire or 'hlegm7Fire in *-

    Short

    $' yang defiency internal cold (pale body)

    *eat stirring 3 wind (red body)

    !eficient body fluids due to heat from e%cess (red bodyw.coating)

    !eficient heat (red body w.out coat)

    $' yang deficiency with damp and phlegm (pale body andslippery coating)

    !racked

    *oriHontal cracks, yin deficiency

    5racks like ice floaes, $- yin deficiency

    -ransverse cracks on sides, $' i deficiency

    Iertical cracks in center, *- yin deficiency or blaHing *- fire

    -ransverse cracks behind tip, ? yin deficiency

    Iery deep central crack with other small cracks, G yindeficiency with heat

    oose

    Gnterior e%cess heat (red body)

    'hlegm7fire clouding *- (red body with slippery coating)

    *- i deficiency (pale body)

    Numb

    *- Blood deficient (pale body)

    3 0ind (red or normal color)

    0ind7phlegm (slippery coating)

    "o#ing *- Fire and internal wind (red body)

    $' heat with e%haustion of body fluids (red & dry body)

    $ui#ering

    $' i deficiency (pale body)

    E%treme heat generating internal wind (red body)

    5ollapse of *- and $' i (pale body)

    5ollapse of yang (pale and thin body)

    Rolled *eat from e%cess (tip rolled over)

    !ef heat (tip rolled under)

    Tooth marked $' i deficiency

    %lcerated

    BlaHing *- fire (red body)

    *- heat from G yin def (red and peeled body)

    $' and G heat (red body)

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    Tongue Diagnosis: Body Color, Tip-Root/Let Right

    +'dy C'('r C(ini,a( Signi-i,an,e

    Pale $lightly dry, blood deficiency

    0et, yang deficiency

    Pale bright and shin' Qi and blood deficiency particular of $- and $'

    Red 0ith coating, heat in the nutritive or blood levels

    0ithout coating, yin deficiency with heat

    Red and wet *eat with retention of damp

    Red and dr'

    0ith coating, heat from e%cess burning body fluids

    0ithout coating, deficiency heat and e%haustion of body

    fluids

    Red and shin' $tomach or G yin deficiency

    Red with red points or spots *eat with blood stasis

    Red with pricles *eat in the nutritive level or in the upper or middle burner

    Red w(a purple spot in center Blood stasis and heat in $-

    Red and peeled *eat from $- and G yin deficiency

    )ark red with a dr' center $- fire blaHing or $- yin deficiency with heat

    Reddish purple *eat and blood stasis

    Reddish purple and distended E%treme heat with blood stasis and to%in from alcoholin@uring the *eart

    *luish purple Blood stasis from internal cold

    *luish purple and moist Blood stasis from internal cold stiffening the tendons and

    bones

    *lue $evere internal cold with blood stasis

    *lue without coating $evere internal cold with stasis and e%haustion of blood

    *lue central surface $' yang deficiency with retention of phlegm in chest

    *lue in a pregnant woman !anger of imminent miscarriage

    )istended #eins on underside of

    tongue

    !eficiency and stagnation of i

    Gf veins also dark, blood stasis

    Tip&R''t Le-t&Right

    *od' !olor-ip and root of different color,

    stagnation of i or blood

    !ifferent color on left and right, i

    stagnation

    *od' Shape

    /) 0hole tongue swollen tip

    more so, long7term problemimbalance between *- and G

    B) Jnly tip swollen, overwork

    Jnly one side swollen with red points,ipsilateral malnourishment of channels

    !oating

    "ellow coating on one side only,/) AB heat affecting the $-

    B) Gpsilateral phlegm in the chest

    "oisture

    -ip red & dry root dirty &swollen,

    defective transformation of body

    fluids

    Jne side wetter,movement of fluids in the chestC

    ung i problem

    A hea(thy t'ng)e .'dy ha* the -'(('/ing 0)a(itie*1

    Gt is supple in shape

    Gt is pale red & fresh looking.vibrant in color (due to healthy heart i and blood) (the

    color of fresh lamb) -he color should be coming from the back of the tongue with

    consistency

    Gt has a thin white coating (due to healthy $- i regulating digestion)

    Gt is rooted (due to inherited i from the kidney and acuired i from the stomach)

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    o

    K iki * Bilton 9888

    Tongue Diagnosis: Coating

    C'ating C(ini,a( Signi-i,an,e

    +hite or white and thin 0ind cold or damp in the e%terior (or normal)

    +hite thin and slipper' E%terior attack of damp7cold

    +hite thick and slipper' !amp in the middle @iao

    5old w.food retention in the $-

    +hite thin and dr'

    Blood deficiency (body pale)

    "ang deficiency (body pale)

    E%terior attack of wind7cold or wind7heat

    ? fluids in@ured (body color normal)

    E%terior attack of dryness (body color normal)

    +hite thick and wet

    E%terior attack of wind7cold (body color normal)

    Gnterior damp7cold in the middle @iao (body color

    normal)

    +hite thick and dr' !irty fluids in the interior with heat

    +hite thick and greas' "ang deficiency with food retention or dampness

    +hite thick greas' and slipper' $' yang deficiency with damp7cold or phlegm

    +hite thick greas' and dr' !amp with e%haustion of body fluids or heat+hite rough and cracked /ttack of summer heat in@uring the i (i level)

    +hite stick' and greas' !amp or phlegm in middle @iao

    E%terior attack of damp at the i level

    +hite and mold' G and $- yin deficiency

    !amp7to%in in the interior

    ,ellow or pale 'ellow

    E%terior attack of wind7heat

    0ind7cold turning into heat

    !amp7heat in the chest and middle @iao

    ,ellow and slipper' !amp heat

    )irt' 'ellow !amp7heat in the $- and intestines

    ,ellow stick' and greas' *eat and phlegm

    ,ellow root white tip E'F @ust changing to heat and penetrating the interior

    *ilateral 'ellow strips rest white *eat in the 3 and AB

    Half-'ellow half-white and R *eat in the 3.AB

    /ra'(/ra' wet and slipper' !amp7cold in the $'

    /ra' and dr' *eat from e%cess

    *lack(*lack slipper' and greas' !amp7cold in the $- and intestines

    *ilateral black on white 5old from deficiency of middle burner (wet)

    *eat from e%cess in the $- and $' (dry)

    +hite coat black points E'G penetrating to the interior and transforming into

    heat

    +hite coating black prickles -rue cold false heat

    5old turned into heat*lack cntr white & slipper' sides $' yang deficiency with damp7cold in the interior

    *lack dr' and cracked E%haustion of G

    "ang deficiency with interior cold

    +hite and 'ellow

    0hite center yellow rest, E'F @ust penetrating

    interior & changing to heat

    "ellow in center white around, interior heat @ust

    starting to clear

    +hite and gra'

    0hite gray and moist, damp cold on the interior

    0hite gray and dirty, damp7cold or phlegm of long

    standing

    *alf white half gray, cold half e%terior half interior

    +hite gra' and black white in !amp in $'